NPI | 1124380332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036149216) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS017468) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT014796) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO5052) | |
Enumeration Date | 2012-06-13 |
Last Update Date | 2023-12-06 |